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Individual
DR. MIGUEL MATOS
Active
Individual
DR. MIGUEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA, MHA, MS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2867
WV
2086S0127X
Trauma Surgery Physician
Primary
0102205056
VA
208D00000X
General Practice Physician
OT012535
PA
Other
Enumeration date
12/04/2008
Last updated
08/11/2021
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